Stephanie Reisdorf | Las Vegas, NV • PECOS Search

Stephanie Reisdorf

Social Worker

Behavioral Health & Social Service Providers

1515 E Tropicana Ave Ste 580, Las Vegas, NV 89119-6517

(702) 898-5311 (702) 289-8435

PECOS Enrollment

Based on the most recent information from CMS, provider Stephanie Reisdorf does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1831526888
Provider Type
Individual
Full Name
Reisdorf, Stephanie
Gender
Female

Sole Proprietor
Yes
Enumeration Date
10/6/2013
Last Updated
7/21/2020

Contact Information

Practice Location

1515 E Tropicana Ave Ste 580, Las Vegas, NV 89119-6517

Unlisted Fax

Mailing Location

5556 Sharpsburg Ave, Las Vegas, NV 89141-8687

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 8119-S Nevada